1. Functionalization of CD36 cardiovascular disease and expression associated variants by interdisciplinary high throughput analysis
- Author
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Madan, Namrata, Ghazi, Andrew R., Kong, Xianguo, Chen, Edward S., Shaw, Chad A., and Edelstein, Leonard C.
- Subjects
CD36 Antigens ,Physiology ,Molecular biology ,Gene Expression ,QH426-470 ,Biochemistry ,Sequencing techniques ,Animal Cells ,Medicine and Health Sciences ,DNA libraries ,Luciferase Assay ,RNA sequencing ,Genomics ,Body Fluids ,Enzymes ,Nucleic acids ,Lipoproteins, LDL ,Blood ,Bioassays and Physiological Analysis ,Cardiovascular Diseases ,Anatomy ,Cellular Types ,Oxidoreductases ,Luciferase ,Research Article ,Platelets ,Quantitative Trait Loci ,DNA construction ,Research and Analysis Methods ,Polymorphism, Single Nucleotide ,Cell Line ,Genetics ,Humans ,Enzyme Assays ,Blood Cells ,Platelet Count ,Biology and Life Sciences ,Computational Biology ,Proteins ,Bayes Theorem ,Cell Biology ,DNA ,Genome Analysis ,Genomic Libraries ,Molecular biology techniques ,Gene Expression Regulation ,Plasmid Construction ,Enzymology ,Biochemical Analysis ,K562 Cells ,Genome-Wide Association Study - Abstract
CD36 is a platelet membrane glycoprotein whose engagement with oxidized low-density lipoprotein (oxLDL) results in platelet activation. The CD36 gene has been associated with platelet count, platelet volume, as well as lipid levels and CVD risk by genome-wide association studies. Platelet CD36 expression levels have been shown to be associated with both the platelet oxLDL response and an elevated risk of thrombo-embolism. Several genomic variants have been identified as associated with platelet CD36 levels, however none have been conclusively demonstrated to be causative. We screened 81 expression quantitative trait loci (eQTL) single nucleotide polymorphisms (SNPs) associated with platelet CD36 expression by a Massively Parallel Reporter Assay (MPRA) and analyzed the results with a novel Bayesian statistical method. Ten eQTLs located 13kb to 55kb upstream of the CD36 transcriptional start site of transcript ENST00000309881 and 49kb to 92kb upstream of transcript ENST00000447544, demonstrated significant transcription shifts between their minor and major allele in the MPRA assay. Of these, rs2366739 and rs1194196, separated by only 20bp, were confirmed by luciferase assay to alter transcriptional regulation. In addition, electromobility shift assays demonstrated differential DNA:protein complex formation between the two alleles of this locus. Furthermore, deletion of the genomic locus by CRISPR/Cas9 in K562 and Meg-01 cells results in upregulation of CD36 transcription. These data indicate that we have identified a variant that regulates expression of CD36, which in turn affects platelet function. To assess the clinical relevance of our findings we used the PhenoScanner tool, which aggregates large scale GWAS findings; the results reinforce the clinical relevance of our variants and the utility of the MPRA assay. The study demonstrates a generalizable paradigm for functional testing of genetic variants to inform mechanistic studies, support patient management and develop precision therapies., Author summary Platelets are anucleate cells that are best known as regulators of vascular hemostasis and thrombosis but also play important roles in cancer, angiogenesis, and inflammation. CD36 is a platelet surface marker that can activate platelet in response to oxidized low density lipoprotein (oxLDL). CD36 has been associated with numerous cardiovascular traits in human including blood lipid levels, platelet count, and cardiovascular disease prevalence in human genetic studies. Human variability in platelet CD36 levels are associated with the platelet response to oxLDL. However, the genetic mechanisms responsible for the variability of CD36 levels are unknown. We examined 81 genetic variants associated with CD36 levels for functionality using a high-throughput assay. Of the ten variants that were identified in that assay, one doublet, rs2366739 and rs1194196, were confirmed using additional molecular and cellular assays. Deletion of the genomic region containing rs2366739 and rs1194196 resulted in overexpression of CD36 in a cell culture system. This finding indicates a control locus which can serve as a potential target in modulating CD36 expression and altering platelet function in cardiovascular disease.
- Published
- 2019